Table 18. Early Non-Primary Non-Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States and Territories, 2016-2020

Table 18. Early Non-Primary Non-Secondary Syphilis — Reported Cases and Rates of Reported Cases by State/Territory and Region in Alphabetical Order, United States and Territories, 2016-2020
State/Territory
Cases
Rates per 100,000 Population
2016 2017 2018 2019 2020 2016 2017 2018 2019 2020
Alabama 293 425 447 540 479 6.0 8.7 9.1 11.0 9.8
Alaska 13 9 41 78 130 1.8 1.2 5.6 10.7 17.8
Arizona 488 620 898 1,179 1,249 7.0 8.8 12.5 16.2 17.2
Arkansas 280 328 364 267 234 9.4 10.9 12.1 8.8 7.8
California 5,289 7,028 7,708 8,284 7,673 13.5 17.8 19.5 21.0 19.4
Colorado 274 281 362 453 519 4.9 5.0 6.4 7.9 9.0
Connecticut 84 145 77 159 207 2.3 4.0 2.2 4.5 5.8
Delaware 57 49 36 65 70 6.0 5.1 3.7 6.7 7.2
District of Columbia 355 341 336 414 369 52.1 49.1 47.8 58.7 52.3
Florida 2,634 3,033 3,939 4,142 4,423 12.8 14.5 18.5 19.3 20.6
Georgia 1,263 1,218 1,517 1,733 1,719 12.2 11.7 14.4 16.3 16.2
Hawaii 89 58 87 95 90 6.2 4.1 6.1 6.7 6.4
Idaho 33 41 33 40 36 2.0 2.4 1.9 2.2 2.0
Illinois 1,138 1,192 1,464 1,345 1,227 8.9 9.3 11.5 10.6 9.7
Indiana 247 250 359 326 471 3.7 3.7 5.4 4.8 7.0
Iowa 59 91 85 100 163 1.9 2.9 2.7 3.2 5.2
Kansas 178 202 291 282 234 6.1 6.9 10.0 9.7 8.0
Kentucky 189 236 294 395 352 4.3 5.3 6.6 8.8 7.9
Louisiana 568 623 576 576 614 12.1 13.3 12.4 12.4 13.2
Maine 6 36 43 53 28 0.5 2.7 3.2 3.9 2.1
Maryland 598 683 857 991 891 9.9 11.3 14.2 16.4 14.7
Massachusetts 538 549 620 625 548 7.9 8.0 9.0 9.1 8.0
Michigan 290 330 407 558 566 2.9 3.3 4.1 5.6 5.7
Minnesota 251 313 286 367 368 4.5 5.6 5.1 6.5 6.5
Mississippi 490 555 937 1,222 1,275 16.4 18.6 31.4 41.1 42.8
Missouri 276 423 546 647 556 4.5 6.9 8.9 10.5 9.1
Montana 6 23 25 25 21 0.6 2.2 2.4 2.3 2.0
Nebraska 19 26 37 46 50 1.0 1.4 1.9 2.4 2.6
Nevada 510 498 512 522 496 17.3 16.6 16.9 16.9 16.1
New Hampshire 33 37 41 49 32 2.5 2.8 3.0 3.6 2.4
New Jersey 755 865 788 827 790 8.4 9.6 8.8 9.3 8.9
New Mexico 118 120 161 203 243 5.7 5.7 7.7 9.7 11.6
New York 3,504 3,914 4,097 4,376 4,770 17.7 19.7 21.0 22.5 24.5
North Carolina 799 771 797 989 1,105 7.9 7.5 7.7 9.4 10.5
North Dakota 12 12 13 10 12 1.6 1.6 1.7 1.3 1.6
Ohio 389 454 481 519 555 3.3 3.9 4.1 4.4 4.7
Oklahoma 339 478 342 339 380 8.6 12.2 8.7 8.6 9.6
Oregon 250 205 299 357 304 6.1 4.9 7.1 8.5 7.2
Pennsylvania 982 1,100 1,192 1,138 1,166 7.7 8.6 9.3 8.9 9.1
Rhode Island 63 71 71 109 97 6.0 6.7 6.7 10.3 9.2
South Carolina 613 687 732 681 796 12.4 13.7 14.4 13.2 15.5
South Dakota 14 19 9 8 38 1.6 2.2 1.0 0.9 4.3
Tennessee 337 412 472 639 686 5.1 6.1 7.0 9.4 10.0
Texas 2,872 3,680 4,245 4,065 5,411 10.3 13.0 14.8 14.0 18.7
Utah 61 85 101 120 81 2.0 2.7 3.2 3.7 2.5
Vermont 14 13 18 11 11 2.2 2.1 2.9 1.8 1.8
Virginia 602 659 668 679 646 7.2 7.8 7.8 8.0 7.6
Washington 446 588 599 721 617 6.1 7.9 7.9 9.5 8.1
West Virginia 51 34 55 83 111 2.8 1.9 3.0 4.6 6.2
Wisconsin 150 199 163 193 230 2.6 3.4 2.8 3.3 4.0
Wyoming 5 4 11 10 6 0.9 0.7 1.9 1.7 1.0
US TOTAL 28,924 34,013 38,539 41,655 43,145 9.0 10.4 11.8 12.7 13.1
Northeast 5,979 6,730 6,947 7,347 7,649 10.6 11.9 12.4 13.1 13.7
Midwest 3,023 3,511 4,141 4,401 4,470 4.4 5.1 6.1 6.4 6.5
South 12,340 14,212 16,614 17,820 19,561 10.1 11.5 13.3 14.2 15.6
West 7,582 9,560 10,837 12,087 11,465 9.9 12.3 13.9 15.4 14.6
American Samoa NR NR 0 0 0 0.0 0.0 0.0
Guam 1 3 3 5 0 0.6 1.8 1.8 3.0 0.0
Northern Mariana Islands NR NR 0 0 0 0.0 0.0 0.0
Puerto Rico 570 527 577 458 332 16.7 15.7 17.5 14.3 10.4
Virgin Islands 2 0 NR NR 9 1.9 0.0 8.4
TERRITORIES 573 530 580 463 341 15.5 14.6 16.3 13.4 9.6
TOTAL 29,497 34,543 39,119 42,118 43,486 9.0 10.5 11.8 12.7 13.1
NR = No report.

NOTE: See Technical Notes for more information on interpreting case counts and rates in US territories. The COVID-19 pandemic has introduced uncertainty and difficulty in interpreting 2020 case data. See Impact of COVID-19 on STDs for more information.

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